DR. ROSE MARY AYOOB (NPI# 1023234879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023234879 |
Entity Type | Individual |
Full Name | DR. ROSE MARY AYOOB |
Credential | MD |
Practice Address |
830 Pennsylvania Ave Ste 103 Charleston WV 25302-3389 |
Mailing Address |
1370 Johnson Ave Ste 102 Bridgeport WV 26330-1492 |
Practice Telephone | 3043881552 |
Mailing Telephone | 6813423464 |
Mailing Fax Number | 3048422333 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2019-01-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35-093671 | OH | Allopathic & Osteopathic Physicians |
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
35093671 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0061138 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
700 Childrens Dr, Columbus, OH 432052664 | 6147224361 | 6147226482 |
800 Pennsylvania Ave, Charleston, WV 253023351 | 3043885432 |
Street Address |
830 PENNSYLVANIA AVE STE 103 |
City | CHARLESTON |
State | WV |
Zip Code | 25302-3389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487754065 | Pamela Celeste Smith | Nurse Practitioner | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2006-09-24 |
1427486216 | Alyssa Wriston | Physician Assistant | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2013-10-15 |
1629350970 | Mohamad Badawi | Pediatrics | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2011-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
Find all providers in zip 25302 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134314032 | Heather Denise Stewart | Pediatrics | 96 Jonathan Lucas St; Csb 428, Msc 608, Charleston, SC 29425-5866 | 2007-09-13 |
1942435789 | Oana M Nicoara | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-05-22 |
1629221536 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
1578721346 | Lauren Jennifer Becton | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-05-29 |
1144403999 | Ibrahim Shatat | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2007-12-14 |
1356532311 | Katherine Elizabeth Twombley | Pediatrics | 171 Ashley Avenue, Charleston, SC 29425-8908 | 2007-08-06 |
1760598403 | Myra L Chiang | Pediatrics | 830 Pennsylvania Ave, Suite 104, Charleston, WV 25302-3302 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457517658 | Oulimata Kane Grossman | Pediatrics | One Medical Center Dr, Morgantown, WV 26505 | 2008-08-06 |
City | CHARLESTON |
Zip Code | 25302 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.